How much rates vary
Facilitymedian $78 · 10th to 90th $25 to $2,239Professionalmedian $41 · 10th to 90th $20 to $59
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $21.88 Median $48.98 Typical High $1,202.26 | Facility | None | $21.88 | $48.98 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $26.30 | Facility | 26 · Professional part | $13.49 | $18.62 | $26.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $48.98 | Facility | TC · Technical part | $21.88 | $30.90 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $38.90 Typical High $52.48 | Professional | None (both parts) | $19.50 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $14.79 Typical High $18.20 | Professional | 26 · Professional part | $7.94 | $14.79 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $11.48 | $23.99 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $21.88 Typical High $25.12 | Professional | 26 · Professional part | $12.02 | $21.88 | $25.12 |
AmeriHealth Setting Facility Modifier None Typical Low $33.88 Median $5,128.61 Typical High $8,912.51 | Facility | None | $33.88 | $5,128.61 | $8,912.51 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $20.42 | Professional | 26 · Professional part | $15.85 | $19.05 | $20.42 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,709.64 | Facility | None | $4,265.80 | $5,011.87 | $8,709.64 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $5,011.87 | Facility | TC · Technical part | $60.26 | $74.13 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $27.54 Median $41.69 Typical High $58.88 | Professional | None (both parts) | $27.54 | $41.69 | $58.88 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $21.88 | Professional | 26 · Professional part | $13.80 | $15.49 | $21.88 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $26.92 Typical High $37.15 | Professional | TC · Technical part | $13.49 | $26.92 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $83.18 Typical High $1,621.81 | Facility | None | $30.90 | $83.18 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $29.51 Typical High $63.10 | Professional | None (both parts) | $14.13 | $29.51 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $10.96 Typical High $21.88 | Professional | 26 · Professional part | $4.79 | $10.96 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $18.62 Typical High $40.74 | Professional | TC · Technical part | $8.13 | $18.62 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $51.29 | $61.66 | $77.62 |
Geisinger Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $18.20 Median $42.66 Typical High $74.13 | Professional | None (both parts) | $18.20 | $42.66 | $74.13 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $6.46 | $15.14 | $25.70 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $11.48 | $27.54 | $48.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $91.20 Median $977.24 Typical High $1,949.84 | Facility | None | $91.20 | $977.24 | $1,949.84 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $25.70 | Professional | 26 · Professional part | $15.14 | $17.78 | $25.70 |
Independence Blue Cross Setting Facility Modifier None Typical Low $33.88 Median $5,128.61 Typical High $8,912.51 | Facility | None | $33.88 | $5,128.61 | $8,912.51 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.05 Typical High $20.42 | Professional | 26 · Professional part | $15.14 | $19.05 | $20.42 |
Martin's Point Setting Facility Modifier None Typical Low $21.88 Median $61.66 Typical High $1,202.26 | Facility | None | $21.88 | $61.66 | $1,202.26 |
Martin's Point Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $53.70 | Facility | TC · Technical part | $21.88 | $25.70 | $53.70 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $19.50 Median $38.90 Typical High $52.48 | Professional | None (both parts) | $19.50 | $38.90 | $52.48 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $14.79 Typical High $18.20 | Professional | 26 · Professional part | $7.94 | $14.79 | $18.20 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $11.75 | $23.99 | $35.48 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $50.12 | Professional | None (both parts) | $30.90 | $37.15 | $50.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.12 Median $75.86 Typical High $676.08 | Facility | None | $25.12 | $75.86 | $676.08 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $40.74 | Professional | None (both parts) | $25.12 | $25.12 | $40.74 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $8.91 | $8.91 | $14.79 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $25.70 | Professional | TC · Technical part | $15.85 | $15.85 | $25.70 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,584.89 Typical High $1,862.09 | Facility | None | $758.58 | $1,584.89 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $20.89 | $41.69 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $7.76 | $15.85 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $12.59 | $26.30 | $47.86 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $18.62 Typical High $20.42 | Professional | 52 · Reduced service | $9.77 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $7.41 Typical High $8.13 | Professional | 53 · Discontinued | $3.89 | $7.41 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | FX · Film X-ray | $26.92 | $31.62 | $32.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $19.50 Typical High $20.42 | Professional | 52 · Reduced service | $16.60 | $19.50 | $20.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.76 Typical High $8.13 | Professional | 53 · Discontinued | $6.76 | $7.76 | $8.13 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | FX · Film X-ray | $26.92 | $31.62 | $32.36 |
Where Pennsylvania sits
The same service costs 9.3 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 28th of 51
$40.74
AK $123NY $13.18
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.